| Answer | Without any difficulty | LA13921-4 |
| Answer | With a little difficulty | LA13918-0 |
| Answer | With some difficulty | LA13920-6 |
| Answer | With much difficulty | LA13919-8 |
| Answer | Unable to do | LA13912-3 |
| answers-for | Are you able to move a chair from one room to another [PROMIS] | 61594-8 |
| answers-for | Are you able to bend down and pick up clothing from the floor [PROMIS] | 61595-5 |
| answers-for | Are you able to stand for one hour [PROMIS] | 61596-3 |
| answers-for | Are you able to do chores such as vacuuming or yard work [PROMIS] | 61597-1 |
| answers-for | Are you able to push open a heavy door [PROMIS] | 61598-9 |
| answers-for | Are you able to exercise for an hour [PROMIS] | 61599-7 |
| answers-for | Are you able to carry a heavy object (over 10 pounds) [PROMIS] | 61600-3 |
| answers-for | Are you able to stand up from an armless straight chair [PROMIS] | 61601-1 |
| answers-for | Are you able to dress yourself, including tying shoelaces and doing buttons [PROMIS] | 61602-9 |
| answers-for | Are you able to reach into a high cupboard [PROMIS] | 61603-7 |
| answers-for | Are you able to use a hammer to pound a nail [PROMIS] | 61604-5 |
| answers-for | Are you able to run or jog for two miles [PROMIS] | 61605-2 |
| answers-for | Are you able to cut your food using eating utensils [PROMIS] | 61606-0 |
| answers-for | Are you able to go up and down stairs at a normal pace [PROMIS] | 61607-8 |
| answers-for | Are you able to open previously opened jars [PROMIS] | 61608-6 |
| answers-for | Are you able to go for a walk of at least 15 minutes [PROMIS] | 61609-4 |
| answers-for | Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower [PROMIS] | 61610-2 |
| answers-for | Are you able to open a can with a hand can opener [PROMIS] | 61611-0 |
| answers-for | Are you able to pull heavy objects (10 pounds) towards yourself [PROMIS] | 61612-8 |
| answers-for | Are you able to step up and down curbs [PROMIS] | 61613-6 |
| answers-for | Are you able to get up off the floor from lying on your back without help [PROMIS] | 61614-4 |
| answers-for | Are you able to stand with your knees straight [PROMIS] | 61615-1 |
| answers-for | Are you able to exercise hard for half an hour [PROMIS] | 61616-9 |
| answers-for | Are you able to wash your back [PROMIS] | 61617-7 |
| answers-for | Are you able to open and close a zipper [PROMIS] | 61618-5 |
| answers-for | Are you able to put on and take off a coat or jacket [PROMIS] | 61619-3 |
| answers-for | Are you able to stand for short periods of time [PROMIS] | 61620-1 |
| answers-for | Are you able to dry your back with a towel [PROMIS] | 61621-9 |
| answers-for | Are you able to run at a fast pace for two miles [PROMIS] | 61622-7 |
| answers-for | Are you able to turn a key in a lock [PROMIS] | 61623-5 |
| answers-for | Are you able to squat and get up [PROMIS] | 61624-3 |
| answers-for | Are you able to carry a laundry basket up a flight of stairs [PROMIS] | 61625-0 |
| answers-for | Are you able to write with a pen or pencil [PROMIS] | 61626-8 |
| answers-for | Are you able to put on a shirt or blouse [PROMIS] | 61627-6 |
| answers-for | Are you able to get out of bed into a chair [PROMIS] | 61628-4 |
| answers-for | Are you able to pull on trousers [PROMIS] | 61629-2 |
| answers-for | Are you able to peel fruit [PROMIS] | 61630-0 |
| answers-for | Are you able to bend or twist your back [PROMIS] | 61631-8 |
| answers-for | Are you able to brush your teeth [PROMIS] | 61632-6 |
| answers-for | Are you able to sit on the edge of a bed [PROMIS] | 61633-4 |
| answers-for | Are you able to tie your shoelaces [PROMIS] | 61634-2 |
| answers-for | Are you able to run errands and shop [PROMIS] | 61635-9 |
| answers-for | Are you able to button your shirt [PROMIS] | 61636-7 |
| answers-for | Are you able to wash and dry your body [PROMIS] | 61637-5 |
| answers-for | Are you able to get in and out of a car [PROMIS] | 61638-3 |
| answers-for | Are you able to carry two bags filled with groceries 100 yards [PROMIS] | 61643-3 |
| answers-for | Are you able to jump up and down [PROMIS] | 61644-1 |
| answers-for | Are you able to climb up five steps [PROMIS] | 61645-8 |
| answers-for | Are you able to wash dishes, pots, and utensils by hand while standing at a sink [PROMIS] | 61646-6 |
| answers-for | Are you able to make a bed, including spreading and tucking in bed sheets [PROMIS] | 61647-4 |
| answers-for | Are you able to carry a shopping bag or briefcase [PROMIS] | 61648-2 |
| answers-for | Are you able to take a tub bath [PROMIS] | 61649-0 |
| answers-for | Are you able to change the bulb in a table lamp [PROMIS] | 61650-8 |
| answers-for | Are you able to press with your index finger (for example ringing a doorbell) [PROMIS] | 61651-6 |
| answers-for | Are you able to put on and take off your socks [PROMIS] | 61652-4 |
| answers-for | Are you able to shave your face or apply makeup [PROMIS] | 61653-2 |
| answers-for | Are you able to squeeze a new tube of toothpaste [PROMIS] | 61654-0 |
| answers-for | Are you able to cut a piece of paper with scissors [PROMIS] | 61655-7 |
| answers-for | Are you able to pick up coins from a table top [PROMIS] | 61656-5 |
| answers-for | Are you able to hold a plate full of food [PROMIS] | 61657-3 |
| answers-for | Are you able to pour liquid from a bottle into a glass [PROMIS] | 61658-1 |
| answers-for | Are you able to run a short distance, such as to catch a bus [PROMIS] | 61659-9 |
| answers-for | Are you able to push open a door after turning the knob [PROMIS] | 61660-7 |
| answers-for | Are you able to shampoo your hair [PROMIS] | 61661-5 |
| answers-for | Are you able to tie a knot or a bow [PROMIS] | 61662-3 |
| answers-for | Are you able to lift 10 pounds above your shoulder [PROMIS] | 61663-1 |
| answers-for | Are you able to lift a full cup or glass to your mouth [PROMIS] | 61664-9 |
| answers-for | Are you able to open a new milk carton [PROMIS] | 61665-6 |
| answers-for | Are you able to open car doors [PROMIS] | 61666-4 |
| answers-for | Are you able to stand unsupported for 10 minutes [PROMIS] | 61667-2 |
| answers-for | Are you able to remove something from your back pocket [PROMIS] | 61668-0 |
| answers-for | Are you able to change a light bulb overhead [PROMIS] | 61669-8 |
| answers-for | Are you able to put on a pullover sweater [PROMIS] | 61670-6 |
| answers-for | Are you able to turn faucets on and off [PROMIS] | 61671-4 |
| answers-for | Are you able to reach and get down a 5 pound object from above your head [PROMIS] | 61672-2 |
| answers-for | Are you able to stand up on tiptoes [PROMIS] | 61673-0 |
| answers-for | Are you able to trim your fingernails [PROMIS] | 61674-8 |
| answers-for | Are you able to stand unsupported for 30 minutes [PROMIS] | 61675-5 |
| answers-for | Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow [PROMIS] | 61683-9 |
| answers-for | Are you able to walk a block on flat ground [PROMIS] | 61685-4 |
| answers-for | Are you able to run five miles [PROMIS] | 61686-2 |
| answers-for | Are you able to run 100 yards [PROMIS] | 61689-6 |
| answers-for | Are you able to walk up and down two steps [PROMIS] | 61691-2 |
| answers-for | Are you able to reach into a low cupboard [PROMIS] | 61692-0 |
| answers-for | Are you able to climb up 5 flights of stairs [PROMIS] | 61693-8 |
| answers-for | Are you able to run ten miles [PROMIS] | 61694-6 |
| answers-for | Are you able to walk at a normal speed [PROMIS] | 61699-5 |
| answers-for | Are you able to stand without losing your balance for several minutes [PROMIS] | 61700-1 |
| answers-for | Are you able to kneel on the floor [PROMIS] | 61701-9 |
| answers-for | Are you able to sit down in and stand up from a low, soft couch [PROMIS] | 61702-7 |
| answers-for | Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing [PROMIS] | 61703-5 |
| answers-for | Are you able to get on and off the toilet [PROMIS] | 61704-3 |
| answers-for | Are you able to transfer from a bed to a chair and back [PROMIS] | 61705-0 |
| answers-for | Are you able to be out of bed most of the day [PROMIS] | 61706-8 |
| answers-for | Are you able to water a house plant [PROMIS] | 61707-6 |
| answers-for | Are you able to wipe yourself after using the toilet [PROMIS] | 61708-4 |
| answers-for | Are you able to turn from side to side in bed [PROMIS] | 61709-2 |
| answers-for | Are you able to get in and out of bed [PROMIS] | 61710-0 |
| answers-for | Are you able to make a phone call using a touch tone key-pad [NeuroQol] | 67936-5 |
| answers-for | Are you able to reach and get down an object (such as a can of soup) from above your head [PROMIS] | 75909-2 |
| answers-for | Are you able to dress yourself, including tying shoelaces and buttoning your clothes [PROMIS] | 78048-6 |
| answers-for | Are you able to run or jog for two miles (3 km) [PROMIS] | 78049-4 |
| answers-for | Are you able to get up from the floor from lying on your back without help [PROMIS] | 78050-2 |
| answers-for | Are you able to run at a fast pace for two miles (3 km) [PROMIS] | 78051-0 |
| answers-for | Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills [PROMIS] | 78052-8 |
| answers-for | Are you able to carry two bags filled with groceries 100 yards (100 m) [PROMIS] | 78053-6 |
| answers-for | Are you able to lift 10 pounds (5 kg) above your shoulder [PROMIS] | 78054-4 |
| answers-for | Are you able to reach and get down a 5 pound (2 kg) object from above your head [PROMIS] | 78055-1 |
| answers-for | Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow [PROMIS] | 78056-9 |
| answers-for | Are you able to walk a block (about 100 m) on flat ground [PROMIS] | 78057-7 |
| answers-for | Are you able to run five miles (8 km) [PROMIS] | 78058-5 |
| answers-for | Are you able to run 100 yards (100 m) [PROMIS] | 78061-9 |
| answers-for | Are you able to run ten miles (16 km) [PROMIS] | 78062-7 |
| answers-for | Are you able to sit on and get up from the toilet [PROMIS] | 78066-8 |
| answers-for | Are you able to carry a heavy object (over 10 pounds or 5 kg) [PROMIS] | 78081-7 |
| answers-for | Are you able to pull heavy objects (10 pounds or 5 kg) towards yourself [PROMIS] | 78082-5 |
| answers-for | Can you walk 25 feet on a level surface (with or without support) [PROMIS] | 78997-4 |
| answers-for | Are you able to go OUTSIDE the home, for example to shop or visit a doctor's office [PROMIS] | 78998-2 |
| answers-for | Are you able to dial a number on a phone with large buttons [PROMIS] | 78999-0 |
| answers-for | Are you able to clean up after a meal [PROMIS] | 79000-6 |
| answers-for | How much difficulty do you currently have opening previously opened jars [PROMIS] | 79001-4 |
| answers-for | Are you able to dial a number on the keypad of a cell phone [PROMIS] | 79002-2 |
| answers-for | Are you able to roll onto your stomach while lying in bed [PROMIS] | 79003-0 |
| answers-for | Are you able to pull up covers while lying in bed [PROMIS] | 79004-8 |
| answers-for | Are you able to hike a couple of miles on uneven surfaces, including hills [PROMIS] | 79005-5 |
| answers-for | Are you able to walk more than a mile [PROMIS] | 79006-3 |
| answers-for | Are you able to open and squeeze a new tube of toothpaste [PROMIS] | 79007-1 |
| answers-for | How much difficulty do you currently have pulling up and fastening your pants after a bowel movement [PROMIS] | 79008-9 |
| answers-for | Are you able to fasten and unfasten a seatbelt [PROMIS] | 79009-7 |
| answers-for | Are you able to do chores such as vacuuming carpet or mopping floors [PROMIS] | 79010-5 |
| answers-for | Are you able to go up and down stairs [PROMIS] | 79011-3 |
| answers-for | Are you able to lift small objects (such as a can of soup) above your shoulder [PROMIS] | 79012-1 |
| answers-for | Are you able to carry a bag of groceries for a short distance [PROMIS] | 79013-9 |
| answers-for | Able to put on socks [PROMIS] | 79014-7 |
| answers-for | Able to put on socks [PROMIS] | 79014-7 |
| answers-for | Are you able to pull a sweater or t-shirt over your head [PROMIS] | 79015-4 |
| answers-for | How much difficulty do you currently have cleaning yourself after a bowel movement [PROMIS] | 79016-2 |
| answers-for | Are you able to do an exercise of your choice for 20 minutes several times a week [PROMIS] | 79017-0 |
| answers-for | Are you able to do strenuous tasks around the house like cleaning the bathroom or scrubbing floors [PROMIS] | 79018-8 |
| answers-for | Are you able to stand on a moving escalator [PROMIS] | 79019-6 |
| answers-for | Are you able to turn pages in a book [PROMIS] | 79021-2 |
| answers-for | Are you able to prepare simple meals for yourself or for others [PROMIS] | 79022-0 |
| answers-for | Are you able to reach above your head [PROMIS] | 79023-8 |
| answers-for | Are you able to do housework like vacuuming or sweeping floors [PROMIS] | 79024-6 |
| answers-for | Are you able to do yard work like raking leaves or sweeping the driveway [PROMIS] | 79025-3 |
| answers-for | Are you able to take a letter out of an envelope [PROMIS] | 79026-1 |
| answers-for | Are you able to push the buttons on a television remote control [PROMIS] | 79027-9 |
| answers-for | Are you able to get items in and out of a wallet [PROMIS] | 79028-7 |
| answers-for | Are you able to turn a key to unlock a door [PROMIS] | 79029-5 |
| answers-for | Are you able to take a shower [PROMIS] | 79030-3 |
| answers-for | Are you able to turn sink faucets on and off [PROMIS] | 79031-1 |
| answers-for | Are you able to type a few sentences on a computer keyboard [PROMIS] | 79032-9 |
| answers-for | Are you able to move about the house [PROMIS] | 79033-7 |
| answers-for | Are you able to use a regular computer mouse [PROMIS] | 79034-5 |
| answers-for | Are you able to move wet clothes from the washer to the dryer [PROMIS] | 79035-2 |
| answers-for | Are you able to move around on a slippery surface outdoors [PROMIS] | 79036-0 |
| answers-for | Are you able to move about in a dark room or hallway without falling [PROMIS] | 79037-8 |
| answers-for | Are you able to do vigorous activities, such as playing sports [PROMIS] | 79038-6 |
| answers-for | Are you able to carry a shopping bag [PROMIS] | 79039-4 |
| answers-for | Are you able to dress yourself [PROMIS] | 79040-2 |
| answers-for | Are you able to wash and dry your feet [PROMIS] | 79041-0 |
| answers-for | Are you able to wash dishes and utensils by hand [PROMIS] | 79042-8 |
| answers-for | How much difficulty do you currently have sitting down on a low, soft couch [PROMIS] | 79043-6 |
| answers-for | How much difficulty do you currently have standing up from a low, soft couch [PROMIS] | 79044-4 |
| answers-for | Are you able to stand upright briefly without support [PROMIS] | 79045-1 |
| answers-for | Are you able to transfer from a bed to a chair or a wheelchair [PROMIS] | 79046-9 |
| answers-for | If you need to, are you physically able to rush for a short distance, such as to cross a street [PROMIS] | 79047-7 |
| answers-for | Are you able to move from the street to the sidewalk without a curb cut [PROMIS] | 79048-5 |
| answers-for | Are you able to use a moving escalator safely [PROMIS] | 79049-3 |
| answers-for | Are you able to fasten buttons on a shirt or blouse [PROMIS] | 79050-1 |
| answers-for | Are you able to hold a card or letter in order to read it [PROMIS] | 79051-9 |
| answers-for | Are you able to cut your toenails [PROMIS] | 79052-7 |
| answers-for | Are you able to fold clean laundry [PROMIS] | 79053-5 |
| answers-for | Are you able to get into a vehicle [PROMIS] | 79054-3 |
| answers-for | How much difficulty do you currently have getting into and out of a truck, bus, shuttle van or sport utility vehicle [PROMIS] | 79055-0 |
| answers-for | How much difficulty do you currently have applying spreads to breads using a knife [PROMIS] | 79056-8 |
| answers-for | How much difficulty do you currently have playing cards or Bingo or other light recreational activities [PROMIS] | 79057-6 |
| answers-for | How much difficulty do you currently have removing wrappings from small objects [PROMIS] | 79058-4 |
| answers-for | Are you able to exercise regularly [PROMIS] | 79059-2 |
| answers-for | Are you able to receive a call on a cell phone [PROMIS] | 79060-0 |
| answers-for | Are you able to open a tight or new jar [PROMIS] | 79061-8 |
| answers-for | Are you able to climb several flights of stairs [PROMIS] | 89682-9 |
| answers-for | Are you able to do two hours of physical labor [PROMIS] | 89683-7 |
| answers-for | Are you able to run on uneven ground [PROMIS] | 89684-5 |
| answers-for | Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table [PROMIS] | 91608-0 |
| answers-for | Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes [PROMIS] | 91609-8 |
| answers-for | Are you able to lift a heavy painting or picture to hang on your wall above eye-level [PROMIS] | 91610-6 |
| answers-for | Are you able to rake leaves or sweep for 1 hour without stopping to rest [PROMIS] | 91723-7 |
| answers-for | Are you able to complete 5 push-ups without stopping [PROMIS] | 91724-5 |
| answers-for | Are you able to hand wash and wax a car for 2 hours without stopping to rest [PROMIS] | 91725-2 |
| answers-for | Are you able to dance energetically for 1 hour [PROMIS] | 91726-0 |
| answers-for | Are you able to swim laps for 30 minutes at a moderate pace [PROMIS] | 91727-8 |
| answers-for | Are you able to stand up from a push-up position five times quickly [PROMIS] | 91728-6 |
| answers-for | Are you able to pull a sled or a wagon with two children (total 100 lbs or 50 kg) for 100 yards (100 m) [PROMIS] | 91729-4 |
| answers-for | Are you able to carry a 50 lb (25 kg) bag of sand 25 yards (25 m) [PROMIS] | 91730-2 |
| answers-for | Are you able to push an empty refrigerator forward 1 yard (1 m) [PROMIS] | 91731-0 |
| answers-for | Are you able to climb a 6-foot (2 m) ladder [PROMIS] | 91732-8 |
| answers-for | Are you able to row a boat for 30 minutes without stopping to rest [PROMIS] | 91733-6 |
| answers-for | Are you able to lift and load one 50-pound (25 kg) bag of sand into a car [PROMIS] | 91734-4 |
| answers-for | Are you able to carry a large baby (15 lbs or 7 kg) out of the house to a car or taxi [PROMIS] | 91735-1 |
| answers-for | Are you able to put your hands flat on the floor with both feet flat on the ground [PROMIS] | 91736-9 |
| answers-for | Are you able to walk in a straight line putting one foot in front of the other (heel to toe) for 5 yards (5 m) [PROMIS] | 91737-7 |
| answers-for | Are you able to stand on one foot with your eyes closed for 30 seconds [PROMIS] | 91738-5 |
| answers-for | Are you able to walk across a balance beam [PROMIS] | 91739-3 |
| answers-for | Are you able to jump 2 feet (60 cm) high [PROMIS] | 91740-1 |
| answers-for | Are you able to paint the walls of a room with a brush or roller for 2hours without stopping to rest [PROMIS] | 91741-9 |
| answers-for | Are you able to jump over a puddle that is 3 feet (1 m) wide [PROMIS] | 91742-7 |
| answers-for | Are you able to jump over an object that is 1 foot (30 cm) tall [PROMIS] | 91743-5 |
| answers-for | Are you able to jump rope for 10M without stopping [PROMIS] | 91744-3 |
| answers-for | Are you able to make sharp turns while running fast [PROMIS] | 91745-0 |
| answers-for | Are you able to come to a complete stop while running [PROMIS] | 91746-8 |
| answers-for | Are you able to walk briskly for 20 minutes without stopping to rest [PROMIS] | 91747-6 |
| answers-for | Are you able to climb the stairs of a 10-story building without stopping [PROMIS] | 91748-4 |
| answers-for | Are you able to complete 10 sit-ups without stopping [PROMIS] | 91749-2 |
| answers-for | Are you able to remove a heavy suitcase (50 lbs or 25 kg) from an overhead bin on an airplane or bus [PROMIS] | 91750-0 |
| answers-for | Are you able to hit the backboard with a basketball from the free throw line 13 ft or 4 m [PROMIS] | 91751-8 |
| answers-for | Are you able to lift a heavy object (20 lbs or 10 kg) above your head [PROMIS] | 91752-6 |
| answers-for | Are you able to do a pull-up [PROMIS] | 91753-4 |
| answers-for | Are you able to dig a 2-foot (1/2 m) deep hole in the dirt with a shovel [PROMIS] | 91754-2 |
| answers-for | Are you able to carry household items, such as heavy boxes or furniture, up a flight of stairs [PROMIS] | 91755-9 |
| answers-for | Are you able to carry a suitcase up a flight of stairs [PROMIS] | 91756-7 |
| answers-for | Are you able to run on even ground [PROMIS] | 91757-5 |
| LONG_COMMON_NAME | en-US | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do |
LOINC Version: 2.77
FHIR